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PRE 2010 DOCSSUBJECT PERMr50662 City of Fridley AT THE TOP OF THE TWINS BUILDING PERMIT r R CEIPT NO. ` COMMUNITY DEVELOPMENT DIV. y------ PROTECTIVE INSPECTION r ' SEC. 1 i � 1 NUMBER REV. DATE PAGE OF F- APPROVED BY ---n CITY HALL FRIDLEY 55432 �'•`•' ,.j 812-580-3450 910-F15 1/29179 JOB ADDRESS 1376 - 76th Avenue N.E. 1 LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR, 2 2 Meadowmoor Terrace 2nd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Garjac Construction Co. 625 Highway #10, Blaine, MN 784-6850 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Construct a 261 x 421 Dwelling and a 311 x 241 Garage SEPFRATE POMITS RLQUIRED FOR VVIRIN 9 CHANGEQFUSEFROM I'-IEONG, PLUMBING ALIO SIGNS. STIPULATIONS Provide a hard surface driveway. Provide a verifying survey before capping. Provide sod in the front and side yards. SEWER LOCATION: 631 E. of M.H. (E. Inv. 885.94) Expose service for elevation before establishing top of footing elevation. WATER LOCATION: 111 E. of Sewer Service. DRIVEWAY DEPRESSION COST: Recommended but not required. The depression may not be performed by the builder or owner. WUNING I -E CITY Of FRIDLEY DOES NOT GUARANTE T:;c Before digging call local utilit ACCURACY OF UTILITY LOCATIONS AND ELEVATIO, � T ElEPHONE -ELECTRIC -GAS - IS FOR I ON PURPOSES ONLY AND AU �VERIFY PERSONS 1146 IT SHOULD THE INFORMATION REQUIRED BY !A ON THE SITE. SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD VENTILATING OR AIR CONDITIONING. Wood Frame THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SQ. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT R-1 1077 + 679 41,008 Tota ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED. WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT $41,000 $20.50 DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- STRUCT OR THE PERFORMA CE OF CONSTRUCTION. $115.51 $425.00 PLAN CHECK FEE TOTAL FEE -A 9- 89 SIGNATURE O ONTRA TO OR AUTHORIZEDAGENT (DATE) WHE 1PROPE LY V ID TE IS IS YOUR PERMIT `f' BLDG INSP DATE SIGNATURE OF OWNER (IF OWNER BUILDER) (DAT EI • CITY OF FRIDLEY . APPLICATION FOR RESIDENTIAL BUILDING PE11141TS (NEW, ALTERATIONS, ADDITIONS, OR REPAIRS) OMER: BUILDER:�� �''oN� 7, L3 Address: Address: Mell Tel. NO. No.: / Street: LOT: `,Z BLOCY.: ADDITION: COMER LOT: INSIDE LOT: � SLTBACY.: 35— SIDEYARDS: Applicant attach *to this form T<ro Certificates of Survey of Lot and proposed building location drawn on these Certificates. DESCRIPTION OF BUILDING j• To Be Used 'As: Front: z 6 Depth: • �/ .� Height: Square Feet: -- — Cubic Feet: -411, 0000 J1 C� Cyd Front: • 3J Depth: Height: l 70-777-L • Square Feet: Cubic feet: • y'-acr-s Type of Construction: Estimated Cost: $ To Be Completed: /M C f / Alt. A Alt. B Proposed Driveway Width If New OpeningjIs Desired $ $ 7$ 3V� j p (SEE REVERSE SIDE OF SHEET) The undersigned hereby makes application for a permit for the work herein specified, agreeing to do all cork in strict accordance with the City of Fridley Ordinances and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct. See reverse side fo4 additijonnal in, ation. DATE: 112 2-/ `7 6 SIGNATURE: Stipulations: � U11>�, ¢�i� � �v� � I�.t U� � - i��'vL; Pi PL. J�j��- Ste- c.[ ®o �� /w;�Z Lc ►o�>S a� 33 X 82 932q cam.g y 8. ate_ 1Z 47- 10972 td9 rl x 12 Z 12. 9a 4 c�.� Vo �SsFX !23U t� con 10 lu en- 0 7 x ktPd -- I i C", ©. TV t WARM6 Before dWO9 COP local utilities Y . TEIEPNANE - EEECTRIC - GAS M l REQUIRED BY LAW IJ IT OF FRIDLEY Doa t4o CIIRFC°i OF FdT1li7°! L RF QPJA IS FOR INfORMAIX VERIFY 1,g ? .CiNS USING IT SHOULD AVE. N . l� 1 k jLANTEE ELEVATIOP-'--• :S ONLY AND INFOR"TIGN r, I J L ` ;0 DAY W-rICE TO ORE-QuIRED FtJltY �:`t.110VA1.AND REPLACI AT DRIVEWAY OPEC SCACC / = 3or DPno��s 112117 mluin�l Lor 2.. BLOCK 2 A46g D0WMOOA7-AXACE 2 �n .-- - -- _ --- — - A17,0,6 I hereby certify that this Is a true and correct representation Of o survey of the boundaries of the above described land, and of the location of all buildirips, ihoran, and all visible oncroochments, if any, from or cm sold land. As surveyed by roe this dor of �� !' i-' A. D. 191 SUBURBAN ENGINEERING, INC. syors Na.• k..t.r.•,r,„•; r. , ki•yr.•. Nrsr"vrJ 4irp;�y}F a VOURSAM _ EJ •ibl) ,� , » 1 if w. J., .. ,. n.. �•� � � .� ..:.nf � ! �" I 1,. , � i c•W r•wntry � .. ., ... � F fly tU �i,•� r..•,. .�.., ... :513 [u Certificate of Survey for L= J•�?/��%J� IC -NS j A)Ie. WARM6 Before dWO9 COP local utilities Y . TEIEPNANE - EEECTRIC - GAS M l REQUIRED BY LAW IJ IT OF FRIDLEY Doa t4o CIIRFC°i OF FdT1li7°! L RF QPJA IS FOR INfORMAIX VERIFY 1,g ? .CiNS USING IT SHOULD AVE. N . l� 1 k jLANTEE ELEVATIOP-'--• :S ONLY AND INFOR"TIGN r, I J L ` ;0 DAY W-rICE TO ORE-QuIRED FtJltY �:`t.110VA1.AND REPLACI AT DRIVEWAY OPEC SCACC / = 3or DPno��s 112117 mluin�l Lor 2.. BLOCK 2 A46g D0WMOOA7-AXACE 2 �n .-- - -- _ --- — - A17,0,6 I hereby certify that this Is a true and correct representation Of o survey of the boundaries of the above described land, and of the location of all buildirips, ihoran, and all visible oncroochments, if any, from or cm sold land. As surveyed by roe this dor of �� !' i-' A. D. 191 SUBURBAN ENGINEERING, INC. syors Na.• k..t.r.•,r,„•; r. , ki•yr.•. Nrsr"vrJ C m 71" m 4- 4,y i -/o he A/ f sbO.1 4,9 f e 0 124L1�(;Y C011SE'RVATION SUPI)LEMUIT TO BUILDING PERMIT AI)PUCATION PI.ANNIN(', ANO INSPECTION CITY A Thi:-; sui+h--munt j.,, provided to the it? tj U 1. ' :j,pL., It I OR IIAIELOPE AVrfkAGL "till FACTOR INFORMATION.. Ttijs' inh i Ration is zc.'iuirL!d so the BIJ11,I)INC, 01i With the L�Jj'AI loll DESIGN CRITERJA of the ;TA'11: et- (St-L(,n 600-0. It. j.-,,Lhe APPLICANT'S responsibility to accurately compute the Cidta; reflect the proper DESIGN CRITERIA in the plan:i; submit product sl,ecifications, if needed to support the "R" and factors used; and to assure coaptruction is per approved plans. JOB LOCATION. OWNER/CONTRACTOR. ADDRESS: o T 2 - :ONE A. Determine the Total Exj-,.ojeL,, b-j,jj hyua ab fol. Lows: I. Total wall window area 2. Total door area 3. Total sliding glass door area 2L 4. Total fireplace wall area cL-- s. Total wall framing areai'awrage & 47 Total net wall area above rloor(avulvage 90-0 7. To tc-_ 1 rim jois,. -4z3—Q-LV Subtotal: Total exposed tiall area above floor B. Total foundation window area e"4 9. Total net foundation area above grade Subtotal: Total exposed foundation area GRAND TOTAL EXPOSED WALl, Aj.EA M32-�l B. Multiply the GRAND TOTAL EXPOSJD WALL 21%EA X .-17 C. Determine Lhe luotal E>ptill , k t L. '. j ; I 1Y„ Berea -As fc,j Lows: 10. Total skylight area 11. Total roof/ceiling framing area (J(,%) 12. Total net insulated roof/ceiling area GRAND TOTAL rXPOSED ROOF/r,F'�LING ARI I D. Multiply the GRAND TOTAL EXPOSED ROOF/CEELING AREA X .05 11 .Item 'i Item ii 5PRO t� E. ),;u�termi ne the "TP vallte of each segment (1-9) and multiply by the arra as t,,1 i:.,... i. __/6 X ..`tv, _ v 4. X vvuvv 6. p B x vy foull a n1a _gyp, x u uu " ,. �• ® x ovule ADD 1- 9 FOR TOTAL WALL SEGMEMTS ITEM I I I F. Determine the "U" value of each segment (10-12) and multiply by the area as follows: 10. _ x Beuve ® 4 11. x avuv, A f g 12. x BBuBe e s _ � B AVD 10-12 FOR TOTAL, ROOF/CEILING SEGMENTS m ITEM IV _:) G. If Item III is the same as, or less than Item I, you have wet the intent of State Building Code 6006 (c) 2. H. If Item IV is the same as, or less than Item II, you have met the intent of State Building Code 6006 (c) 1. I. Acid Item I + Item II _ J. Add Item III m + Item IV K. If the sum of items III and Irl are less, than Item, I and IL, you have met the intent of the Code for total envelope system. The undersigned, as applicant for a buL.Ld.ing permit, hereby affirms the above information ha:; been prepared and submitted by himself or under his direction, hore:by acknowledges Lilt! information to be correct ,and accurate; and hereby 1 resents the information vii th required plans in support of the building permit. app By: HATE: . . 0 CITY OF FRIDLEY APPLICATION FOR PLUMBING AND AAs FITTING PERMIT n Job Address Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct OWNER (r a v- Fridley, Mn. '�- — CJ , , 19 ')C7 a KIND OF BUILDING USED AS TO BE COMPLETED ABOUT PARTIAL RATE SCHEDULE � o x m PLUMBING FIXTURE RATES: NO. Water N X01 W in k E r. -1i y02 O .amu N W N x $2.00 $ Heater -1 14 y� W 0 $ r. •.1 W .0 ,��( 4' N 3 N .0 •N 6 x $5.00 $ Tel. No. N 0 100,000 BTU to 199,000 BTU x $10.00 $ j Water Softener x $7.00 $ ( :01 x $5.00 g B 1J N Electric Water Heater W N Date 13 U Z) M g FINAL INSP. J 2 0 C '% �f 3 0 w° vi w U M 3 x $1.00 $ U O as lec Elas APPROVAL FOR PERMIT REPAIRS $ ALTERATIONS 1 First $100.00 ) $ each add. $100.00 or fraction $2.00 $ MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7..50 PLUS $.50 STATE SURCHARGE State Surcharge 1st $ .50 B ! $ REINSPECTION FEE ( $10.00) qq 1�t� 2nd 3rd 4th (R) = Future Connection Opening Connected with Sewer (*) = New Fixture, Old Opening Water. n Job Address Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and representations stated in this application are true and correct OWNER (r a v- Fridley, Mn. '�- — CJ , , 19 ')C7 a KIND OF BUILDING USED AS TO BE COMPLETED ABOUT PARTIAL RATE SCHEDULE ESTIMATED COST PLUMBING FIXTURE RATES: NO. RATE TOTAL OLD NEW B ILDING PERMIT NO. C� in PERMIT NO.I Number Fixtures diz x $3.00 Future Fixture Opening x $2.00 $ Company e (� _ J 5' k New Fixture, Old Opening x $2.00 $ Catch Basin x $5.00 $ Signed Water Heater - to 99,000 BTU %( x $5.00 $ Tel. No. 100,000 BTU to 199,000 BTU x $10.00 $ Water Softener x $7.00 $ New Ground Run Old Building x $5.00 $ ROUGH INSP. Electric Water Heater x $5.00 $ Date GAS FITTING FEES: g FINAL INSP. J 2 0 C '% �f lst 3 fixtures �_ x $3.00 $ -(-n Date Additional Fixtures x $1.00 $ Gas Range to 199,000 BTUx $10.00 $ APPROVAL FOR PERMIT REPAIRS $ ALTERATIONS First $100.00 $5.0(1 $ each add. $100.00 or fraction $2.00 $ MINIMUM FEE FOR ANY PLUMBING PERMIT IS $7..50 PLUS $.50 STATE SURCHARGE State Surcharge $ .50 TOTAL FEE $ REINSPECTION FEE ( $10.00) qq 1�t� 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 Mr. Gary D'Aigle Garjac Construction Co. 625 Highway ##10 Blaine, MN 55434 Re: Final Inspection at 1376 - 76th Avenue N.E. Dear Mr. D°Aigle: TELEPHONE ( 612)571-3450 A final inspection was made on March 29, 1979 of the above address and the following items were noted which must be completed before the structure can be finaled out; 1. Provide sod in the front and side yards by June 15, 1979. 2. Provide a hard surface driveway by June 15, 1979. 3. Provide door closer by April 15, 1979. 4. Provide a firewall by April 15, 1979. 5. Provide footings for deck posts by June 15, 1979. 6. Provide handrail on lower stair by April 15, 1979. 7. Provide a copy of the verifying survey to the City by April 15, 1979. 8. Provide a front step by June 15, 1979. 9. Post address on structure by April 15, 1979. We will expect the above items to be completed by the scheduled dates when reinspections will be conducted to determine compliance. If you have any questions on these items, please feel free to call me at 571-3450. Sincerely, <::ja�k DARREL G. CLARK Chief Building Official DGC/mh CC: Mr. Conrad Skow 1376 - 76th Avenue N.E. JPS _ .i fF March '0Y 29, 1979 / 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 55432 Mr. Gary D'Aigle Garjac Construction Co. 625 Highway ##10 Blaine, MN 55434 Re: Final Inspection at 1376 - 76th Avenue N.E. Dear Mr. D°Aigle: TELEPHONE ( 612)571-3450 A final inspection was made on March 29, 1979 of the above address and the following items were noted which must be completed before the structure can be finaled out; 1. Provide sod in the front and side yards by June 15, 1979. 2. Provide a hard surface driveway by June 15, 1979. 3. Provide door closer by April 15, 1979. 4. Provide a firewall by April 15, 1979. 5. Provide footings for deck posts by June 15, 1979. 6. Provide handrail on lower stair by April 15, 1979. 7. Provide a copy of the verifying survey to the City by April 15, 1979. 8. Provide a front step by June 15, 1979. 9. Post address on structure by April 15, 1979. We will expect the above items to be completed by the scheduled dates when reinspections will be conducted to determine compliance. If you have any questions on these items, please feel free to call me at 571-3450. Sincerely, <::ja�k DARREL G. CLARK Chief Building Official DGC/mh CC: Mr. Conrad Skow 1376 - 76th Avenue N.E. CI'T'Y OF FRI LEY 6431 UNIVERSITY AVENUE N.E., FRIDLEY, MINNESOTA 56432 TELEPHONE ( 612)571-3450 April 17, 1979 a Mr. Gary D'Aigle Garjac Construction Co. 625 Highway #10 Blaine, MbT 55434 Re: Final Inspection at 1376 - 76th Avenue N.E. Dear Mr. D'Aigle: A final reinspection was made on April 16, 1979 of the above address but we could not gain entrance to the structure to check for compliance with our letter of March 29, 1979. We would like to recheck for compliance on May 1, 1979. Would you please contact this office if we would not be able to get into the structure at that time. We will be waiting to hear from you on this matter. Sincerely, 'Z; �G.CIARK Chief Building Official DGC/mh ENC:. Copy of March 29, 1979 letter CC: Mr. Conrad Skow 1376 - 76th Avenue N.E. REPLY: ..... . ... ... .... ... ... . DATE. SIGNATURE 0111LIGINATOR - DETACH AND RETAIN CITY OF FRIDLEY /t PPLICATIOII rnr? I?rgTI)I-I,dTIAI LUJLDING PE 11111 TS (NEW, ALTL'RATIns, ADDITIONS, OR REPA113S� .Q71.1S I Co. OWIMR. BUILDER: Address: Address: l0 Tel. No. /)IS70 Street: th 1. .J JOT: BLOCY.: ADDITION: CORNER LOT: INSIDE T: SBTB K: SIDEYARDS: Applicaht attach 'to this foam Certifi• - s of Survey of Lot and proposed • building location drawn on t Certifi es. DE PTION BUILDIN To Be Used As: Fr t epth: Height: Sq re Feet: 4b,c Feet: Depth Height: u re Feet F t: Type of Constructs n: Estimated Cost: $ To Be Complet Alt. A Alt. B Propos eway Width If v O enin Is De ired $ $ (SEE. REVERSE SIDE OF SHEET), The undersigi d hereby makapplication for a permit for the work herein specified, ag eeing to a 1 work in strict accordance with the City of Fridley Ordin--ces and ru ' gs of the apartment of Buildings, and hereby declares that 11 the ct and represeitations stated in this application are true and correc reverse 'd for additional information. DATE: SIGNATU ,Stipulations: CITY OF FRIDLEY APPLICATION FOR PWMBI•NG ANI? PAS FITTING PERMIT Job Address 16— Cer Ile ' PnRTIAL RATE SCHEDULE w PLUMBING FIXTURE RATES: NO. w. s w P:: e_• Fixtures m $3.00 u Future F�Ltiture Opening X d S Water X $2.00 $ .� Catch Basin x $5.00 $ Fater heater - to 99,000 BTU x $5.00 $ 100.000 BTU to 199,000 BTU x $10.00 $ Water Softer.er Heater -.i aB New Ground Ain Old Building X C w Electric Water Heater -1G L U u .0 C Fd. 4 .� od ' M L1 G C -d Y $1.00 C G S O 0 O U+ L= N .0 +J N wv U N N v REPAIRS ALTERATIONS First 100.00 $ S 5.00 4 O G-4 $2.00 S state surcharge ' TOTAL FEE lec N U :2 r. CA VI 3 a W to W V G Q M U t7 O as Lo Ye 1st tad 3rd Openin (2) - Future Connectionq Connected with Sewer ("! - New Fixture, Old Cpening Water ' PnRTIAL RATE SCHEDULE . PLUMBING FIXTURE RATES: NO. RATE TOTAL P:: e_• Fixtures x $3.00 S Future F�Ltiture Opening x $2.00 S New Fixture, Old Opening X $2.00 $ .� Catch Basin x $5.00 $ Fater heater - to 99,000 BTU x $5.00 $ 100.000 BTU to 199,000 BTU x $10.00 $ Water Softer.er x $7.00 $ New Ground Ain Old Building X $5.00 $ Electric Water Heater x $5.00 $ GAS FITTING FEES: .� od s t 3 fixtures x $3.00 S Additional Fixtures x $1.00 $ Ga�sC�RaQz:ge.to, BTU x $x:0.00 $ �199,000 A REPAIRS ALTERATIONS First 100.00 $ S 5.00 S each add. $100.00 or fraction $2.00 S state surcharge ' TOTAL FEE S / REINSPECTION FEE Department of Buildings City of Fridley Tel. #571-3450 The undersigned hereby makes application for a permit for the work hereLZ specified agreeing to do all work in strict accordance with the City Codes and rulings of the Department of Buildings, and hereby declares that all the facts and roprosontations statod in this application are trio and corz:= Fridley, Mn. ® �' . 19�� MER��C�� ��•� Ze— KIND OF BUILDING USED AS t L✓ �/��/ / �� ��7 TO BE CO TLETED ABOUT ESTIMATED COST _ OLD - NEW BUILDING PERMIT NO. PEMMIT NO..�Y.�� Company Signed B Tel. No. ROUGH INSP. Date FINAL INSP. ( 2 40 Date APPROVAL FOR PEIWZT MINIMUM FEE FOR ANY PLM=G &ERMIT IS $7..50 PLUS $.so sT;cz SUBJECT PE ,4 . City of Fridley �;. 2 6 7 2 AT THE TOP OF THE TWINS BUILDING PERMIT. r RECEIPT NO. COMMUNITY DEVELOPMENT i DIV. l LV �_���_ r PROTECTIVE INSPECTION SEC. 1 � /"'1 � CITY HALL FRIDLEY 55432 pO(v/9� NUMBER REV DATE PAGE OF APPROVED BY � " %J 612-571-3450 910-F15 7/8/94 JOB ADDRESS 1376 76 Avenue NE I LEGAL LOT NO. BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 2 1 Meadowmoor Terrace 2nd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Catherine & Daniel Hansen 1376 76 Avenue NE 784-0564 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Same 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 8 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ MOVE ❑ REMOVE X 8 DESCRIBE WORK Reroof House & Garage (24 Squares) Tear-off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. Provide smoke detectors adjacent to all sleeping areas and in basement. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. ZONING SO. FT. CU. FT. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 80 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT NO. DWLG. UNITS OFFSTREET PARKING ANY TIME AFTER WORK IS COMMENCED. I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION 1 STALLS GARAGES VALUATION SURTAX AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED $1,800 $.90 WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT PERMIT FEE SAC CHARGE DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CON- $41.00 Fire SC $1.80 STRUCTION OR THE PERFORMANCE OF CONSTRUCTION. PLAN CHECK FEE TOTAL FEE $43.70 NATURE OF O NTRACTOR OR AUTHORIZED AGENT IDATEI I HEN P PERL VALI TED THIS IS PER IT -�r gH o - . BLDG INSP GATE SiGNATURE)OWNERIIF OWNER BUILDER) IDATEI NEW II ADDN (( 'CITY OF FRIDLEY ALTER (( SINGLE FAMILY AND DUPLEXES R-1 AND R-2 Building Permit Application Construction Address: -- 'IS Z�._ - 76-- Legal 6— Legal Description: - --_ -- _- Owner Name 8c Address: ��,�,`, e Q��'e� /�vertseo, Tel. #_ Contractor: MN LICENSE # Address: Tel.1 Attach to this application, a Certificate of Survey of the. lot, with -the proposed construction drawn on • it. to scale. Effective 1/ 1/94 ?f 91-49,T-6 DESCRIP.ION .OF IMPROYEII�ENT - a. LIVING AREA: Length 4� Width 2CP ' Height Sq. Ft._ GARAGE AREA: :: Length �2 Width 2 y Height Sq. FI.. DECK AREA: : ' Length Width Hgt/Ground Sq. Ft. OTHER: Comer Lot'[ ] Inside Lot [ ] Ft. Yd Setback Side Yard Setbacks Type of Construction:eo �� Estimated Cost: $ z/9' "o Approx. Completion Date: (Cost on Back) Driveway Curb Cut Width Needed: Ft. + 5 Ft = Ft x $ _ $ DATE: APPLICANT: Tel. #y CITY USE ONLY Permit Fee $ 0c') Fee Schedule on Reverse Side Fire Surcharge $ /, � ' 0 .001 of Permit Valuation (1/10th%) State Surcharge $ p $.50/$1,000 Valuation SAC Charge $ $800 per SAC Unit License Surcharge $ $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $_ Agreement Necessary (] Not Necessary ( ] TOTAL $ STIPULATIONS: CITY OF FRIDLEY INSPECTION DIVISION Effective On January 1, 1998 6431 University Ave NE Fridley, MN 55432 APPLICATION FOR POWER PLANTS AND HEATING, COOLING, VENTILATION, 572-3604 REFRIGERATION AND AIR CONDITIONING SYSTEMS AND DEVICES JOB ADDRESS RATE SCHEDULE The undersigned hereby makes application for a permit for the work herein Residential Rate TOTAL specified agreeing to do all work in strict accordance with the City Codes and Furnace Shell and Duct Work, Burner — rulings of the Building Division, and hereby declares that all the facts and Also Replacement Furnace $ 30.00 $ representations stated in this application are true and correct. (Side Vent — Fill Out Back) _,1988 Gas Piping (Needed with new furnace) $10.00 $ OWNER� Gas Range $10.00 $ BUILDING USED AS Gas Dryer $10.00 $ ESTIMATED COST PERMIT N0. �� �� *Air Conditioning —All Sizes $25.00 $_ EOZ DESCRIPTION OF FURNACE AND OR BURNER All Others/Repairs $ Alterations (LIST ON BACK) I% of Value of Appliance or Work $ No. of Heating Units_ Circle One (Steam) (Hot Water) (Warm Air) Trade Name Size No. Cornmercial/industrial BTU HP EDR 1.25% of Value of Appliance or Work $ Fuel Total Connected Load State Surcharge .50 Bumer Trade Name Size No. BTU HP EDR TOTAL FEE $ �,�'�D HEATING COMPANY MINIMUM FEE FOR ANY HEATING/COOLING/VENTILATION REFRIGERATION/AIR CONDITIONING PERMIT IS $25.00 Signed By_,2,� Tel No. — MUSTHE .50 STATE SURCHARGE REINSPECTION FEE $42.00/Hr Approved By Rough—In Date Final Date *Air Conditioners can not be placed in a side yard without FILL OUT BACKSIDE FOR S CK VERIFICATION ON written permission from adjoining property owner. REPLACEMENT FURNACE Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: CHIIUNEY AND STACK VERIFICATION The undersigned hereby verifies that the existing chimney or stack: 1. Has been carefully examined Yes () No ( ) 2. Is free from rust or deterioration Yes () No ( ) 3. Has no foreign objects Iodged within Yes () No { ) 4. Is securely supported Yes ( ) No { ) 5. Meets all current Code requirements for ,size and total bTWs connected Yes { ) No ( ) 6 Has total heating BTU's of .All other BTU's TOTAL BTU's 7. Has a liner been provided for water heater Yes () No ( ) g. Has combustion air been provided for water heater Yes () No ( ) Remarks: List ALTERATIONS Being Done: HEATING CO: Signed By: Date: v SUBJECT ' PE . City of Fridley 27408 AT THE TOP OF THE TWINS BUILDING PERMIT r COMMUNITY DEVELOPMENT DIV. r PROTECTIVE INSPECTION SEC. nCEI NUMBER REV GATE PAGE OF APPROVED BY CITY HALL FRIDLEY 55432 ti.__.11.' '•� 612-571-3450 910-F15 8/26/98 JOB ADDRESS 1376 76th Avenue NE 1 LEGAL LOT NO, BLOCK TRACT OR ADDITION SEE ATTACHED DESCR. 2 2 1 Meadowmoor Terrace 2nd SHEET 2 PROPERTY OWNER MAIL ADDRESS ZIP PHONE Dan Hansen 794-0564 3 CONTRACTOR MAIL ADDRESS ZIP PHONE LICENSE NO. Sela Roofing & Rem. Inc. 4100 Excelsior - 4 ARCHITECT OR DESIGNER MAIL ADDRESS ZIP PHONE LICENSE NO. 5 ENGINEER MAIL ADDRESS ZIP PHONE LICENSE NO. 6 USE OF BUILDING Residential 7 CLASS OF WORK ❑ NEW ❑ ADDITION ❑ ALTERATION REPAIR ❑ MOVE ❑ REMOVE 8 DESCRIBE WORK Reroof house and garage 25 S Tear -off 9 CHANGE OF USE FROM TO STIPULATIONS Underlayment must comply with the State Building Code. TYPE OF CONST. OCCUPANCY GROUP OCCUPANCY LOAD SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL, PLUMBING, HEATING, VENTILATING OR AIR CONDITIONING. THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION ZONING SO. FT. CU. FT. AUTHORIZED IS NOT COMMENCED WITHIN 60 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 120 DAYS AT ANY TIME AFTER WORK IS COMMENCED. NO. DWLG. UNITS OFFSTREET PARKING I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION ISTALLS GARAGES AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS VALUATION SURTAX AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PR UME TAP GIVE AUTHORITY TO VIOLATE OR CANCEL THE PERMIT FEE SAC CHARGE PROVISION, -O ANY O HER S TE OR LOCAL LAW REGULATING CON- STRUCTIO O4THEFO N OF CONT TION.PLAN CHECK FEE T ALFEE TUACTOR OR AUTHORIZED AGENT IDATEI E P VALI D THIS IS I SIGNATURE OF OWNER OF OWNER BUILDER) IDATEI DG IN GATE v x NEW [' ]" Effective 1/1/98 ADON [ ] CITY OF FRIDLEY ALTER [ ] SINGLE FAMILY AND DUPLEXES R-1 AND R-2 BUILDING PERMIT APPLICATION ConstructionAddress: 1S--7 (i lQ Vl Legal Description: Owner 1� Contract Address: Attach to this application, a Certificate of Survey of the lot, with the proposed construction drawn on it to st%A ROOFING & REMODELING, INC. 4100 EXCELSIOR BLVD. DESCRIPTION OF IMPROVEMENT ST. LOUIS PARK, 55416 ID 4000105500 LIVING AREA: Length Width GARAGE AREA: Length Width DECK AREA: Length Width Height Sq. Ft. _ Height Sq. Ft. Hgt/Ground Sq. Ft. OTHER: S 0(,ta -t-- Construction Type: Estimated Cost: $ Uy -e- (Fee . c edule On Back) Driveway Curb Cut Width Needed: Ft. + 6 Ft = Ft x $ _ $ DATE: Z 6 �V APPLICANT:A Tel. # �l0 CITY USE ONLY Permit Fee $ f �Sr- Fee Schedule on Reverse Side Fire Surcharge $_ .001 of Permit Valuation (1/10th%) State Surcharge $ A 0 { $.50/$1,000 Valuation SAC Charge $ $1000 per SAC Unit License Surcharge $ CJU $5.00 (State Licensed Residential Contractors) Driveway Escrow $ Alt. "A" or Alt. "B" Above Erosion Control $ $450.00 Conservation Plan Review Park Fee $ Fee Determined by Engineering Sewer Main Charge $ Agreement Necessary [ ] Not Necessary [ ] TOTAL $C- STIPULATIONS: O 35.3 CITY OF FRIDLEY INSPECT ON DIV. Effective On January 1, 1997 6431 University Ave NE Fridley, MN 55432 j APPLICATION FOR PLUMBING AND GAS FITTING PERMIT 572-3604 Stories Basement Floor 1 Floor 2 Floor 3 Floor 4 PLUMBING FIXTURE RATES: MARK NUMBER OF FIXTURES TO BE INSTALLED ON EACH FLOOR hath Wash E?rtnl�UFloor Catc} Auto. Urinal Tub: Shower Smk Tray Fount Drain Bastr. < Washer NO. RATE TOTAL New Fixtures Old Opening, New Fixture set only 3 Beer Dispenser Blow Off Basin Catch Basin Rain Water Leader Sump/Receiving Tank Water Treating Appliance Water Heater —Electric Water Heater — Gas** Gas Range** Gas Dryer** Back Flow Preventer Required ( )Yes () No Type $ 7.00 $ 4.00 12.00 $ 5.00 $ 7.00 $ 7.00 $ 7.00 $ 7.00 $10.00 $ 7.00 $10.00 $10.00 $10.00 $15.00 Gas M�sc, Water Heater Range Feet Gas Elec JOB ADDRESS 1376 76th AVENUE, FRIDLEY The undersigned hereby makes application for a permit for the work herein specified agreeing to do all work In strict accordance with the city codes and rulings of the Building Division, and hereby declares that all the facts and representations stated in this application are true and correct. Owner Building Used As RESIDENCE Estimated Cost PLUMBINGLOOMPANY r1y ,19�I PERMIT NO. l ,?6 �Ij SERVICES INC..- Reinspection NC.: Reinspection Fee $42.00/Hr SIGNED BqFEEF L N0. 783 9080 ALL OTHERS AND/OR REPAIRS AND ALTERATIONS b 1.5% of Value of Fixture or Appliance �� %Ct I f C3G� Approved Rough—In Date Final Date_ State Surcharge $ .50 MINIMUMNY PLUMBING/GAS PERMIT IS / 20.00 TOTAL FEE $ dv PLUS THE $.50 STATE SURCHARGE **COMBUSTION AIR SHALL BE PROVIDED PER UMC SECTION 504(A) AND TABLE 6—A. MINIMUM SIZE 9 SQ INCHES.